Getting Heartburn And Abdominal Pain. How Long Does It Take Gastritis And Hiatal Hernia To Heal?

Dear,

Thanks for contacting Healthcare Magic.

As your endoscopy shows, you have hiatus hernia and mild gastritis. Your heartburn and upper left abdominal pain can be explained by this. Nexium is a good medicine for this and I believe you had relief in these symptoms with this. I will recommend that you continue with nexium. Hiatus hernia generally doesnot go away with medication as it is an anatomical condition. Patients with large hiatus hernia need to undergo surgery to correct it, but majority will stay fine with medicines like nexium.

Certain lifestyle measures will help improving symptoms due to hiatus hernia. You should try to reduce your weight, eat small amounts at a time, but can eat frequently. You should also avoid or reduce intake of tea, coffee, mints, choclates, carbonated drinks, sour and spicy food if you take these.

As far as bad taste in mouth is concerned, it may be helped by taking zinc and vitamin B12 supplements. I guess these should be available over the counter. If this still persists then you should consult a dentist and a ENT specialist to rule out any local problem.

Hope my suggestions help you.

Best wishes,

Dr Dinesh Singal

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Dear,

Thanks for contacting again. It is perfectly fine to use chewing gum to get rid of bad taste in mouth. Mint in bubblegum can certainly cause irritation in stomach. But if you feel comfortable with it, you can take it. Dexilant is dexlansaprazole, it should usually not cause abdominal discomfort after 3 weeks of use, but rarely this can be its adverse effect.

You can contact again if you have any other queries.

With best wishes,

Dr Dinesh Singal

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Dear,

Thanks for getting in touch again.

Usually mild gastritis should not cause much problem. Commonest causes for mild gastritis are Helicobacter pylori infection, also certain drugs can cause it. If your pain is persisting, your physician may like to test you for H.pylori and if positive treating it with medicines may help you.

Sticking to GERD diet is very important and that should also improve your symptoms. You can try elevated bed but it may not much help in pain, though it helps someone who has volume reflux in night time. Your weight appears to fine.

Hope this helps you getting better.

Best wishes,

Dr Dinesh Singal

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Dear,

Thanks for getting in touch again.

I am not sure, but your report of endoscopy must mention whether or not you were tested for H.pylori. Normally it should have been.

If your blood tests (complete blood counts, liver function tests, thyroid profile, blood sugars) and ultrasound were normal on earlier assessment. Endoscopy has already been done. I don't think you need any follow-up tests in particular. unless your symptoms are different from current symptoms or there are red flag symptoms like weight loss, difficulty in swallowing, anorexia, fever, anemia etc.

Certainly anxiety can precipitate your symptoms.

Best wishes,

Dr Dinesh Singal

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Dear,

Thanks for getting in touch again.

If you are feeling better then continue with Nexium. You can forget the testing at the moment, and let your new doctor decide for you. You can get these done if you have any change in your symptoms or new symptoms appear.

Not necessarily that you are having H.pylori infection. I was just trying to tell that if you have persistent symptoms then it may be due to H.pylori infection.

Best wishes.

Dr Dinesh Singal

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Dear,

Very difficult for me to comment. But I see no reason to be concerned, most likely these black threads must be some food fibers. If you feel concerned then probably you can give a sample to your lab they can test it under the microscope.

Best wishes

Dr Dinesh Singal

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Dear,

The way you describe it, it appears like anal fissure. You can apply Xylocaine jelly locally in anal region before defaecation. Also you should take some laxative to soften the stool in case it is hard. hard stool usually precipitates anal fissure.

Best wishes,

Dr Dinesh Singal

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